Provider Demographics
NPI:1093437345
Name:CECCARELLI, LAUREN (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:CECCARELLI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 TREEVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2436
Mailing Address - Country:US
Mailing Address - Phone:732-547-5619
Mailing Address - Fax:
Practice Address - Street 1:24 TREEVIEW CIR
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-2436
Practice Address - Country:US
Practice Address - Phone:732-547-5619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-14-17001103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst